Kopko, Kevin Anthony

Kopko, Kevin Anthony is an individual health care provider with primary practice located at 5719 Widewaters Pkwy Syracuse Orthopedic Specialists, Syracuse NY 13214. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery is his primary health care specialty. Kopko, Kevin Anthony can be contacted via phone (315) 251-3100.

Contact Information

Primary practice address
5719 Widewaters Pkwy Syracuse Orthopedic Specialists Syracuse NY 13214
Phone: (315) 251-3100
Fax: (315) 449-9923
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 272408 New York
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery 207XS0114X 272408 New York

Profile Details

NPI number 1700102928
LBN Legal business name Kopko, Kevin Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2010
Last updated Jun 14th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700102928 NPPES
New York MEDICAID 04704138

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